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Individual

DR. JENNIFER M KATELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
5555 N PORT WASHINGTON RD STE 300, GLENDALE, WI 53217-4928
(414) 962-6764
(414) 962-6765
Mailing address
5555 N PORT WASHINGTON RD STE 300, GLENDALE, WI 53217-4928
(414) 962-6764
(414) 962-6765

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
3823-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100080089
WI
Enumeration date
08/09/2017
Last updated
05/04/2022
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